@albion223 I forgot to mention my scar issues. I had a large incision from my right ear down under my chin to my left side. That scar, in spite of my massage was pretty tough. It wound up acting like a dam and the lymph could not move past it. So the OT massage was necessary to not only break up the scar tissue but to help the lymph clear. At times it looked like a big sausage under my chin. During a return visit to my surgeon he recommended the OT massage. He said it was not really something I could do for myself and he was right. My OT was able to massage the scar tissue and move the fluid in just a few visits. Now the maintenance is up to me.